China
Africa
Explore chapters and articles related to this topic
Advanced bronchoscopic procedures
Published in Don Hayes, Kara D. Meister, Pediatric Bronchoscopy for Clinicians, 2023
Karthik Balakrishnan, R. Paul Boesch
Cryotherapy involves the use of freezing and thawing to manipulate tissue. This may include variations such as cryoprobe, cryospray, and cryoadhesion.12 Tissue freezing is created either by direct contact with a cold device or by topical application of liquid nitrogen. In general, tissues with a higher water content will be more affected.12
Paper 3
Published in Aalia Khan, Ramsey Jabbour, Almas Rehman, nMRCGP Applied Knowledge Test Study Guide, 2021
Aalia Khan, Ramsey Jabbour, Almas Rehman
A 26-year-old male presents with a verruca on his foot. Which one of the following statements is true of cryotherapy? Cryotherapy is not painful.Cryotherapy may result in permanent hypopigmentation of the skin.Cryotherapy successfully cures warts after two treatments in 70% of cases.Cryotherapy is the only option for wart removal.Cryotherapy has been shown to be more effective than salicylic acid paint.
Obstetrics and Gynaecology
Published in Seema Khan, Get Through, 2020
Postcoital bleeding may be caused by atrophic vaginitis, cervical ectropion, cervical carcinoma or cervical polyp. Cervical ectropion is eversion of the lower cervical canal and is associated with the three ‘Ps’ – puberty, pregnancy and the combined oral contraceptive pill. It is usually asymptomatic but can present with postcoital bleeding. Treatment involves cryotherapy.
Efficacy and safety of topical treatments for seborrheic keratoses: a systematic review
Published in Journal of Dermatological Treatment, 2023
Nicole Natarelli, Amanda Krenitsky, Kerry Hennessy, Sarah Moore, James Grichnik
First-line treatments include cryotherapy and shave excision. Cryotherapy is generally regarded as the most available and efficacious treatment, with potential side effects including burning, stinging, blistering, and hypo-or-hyperpigmentation. Insurance may cover the procedure for symptomatic lesions or lesions clinically concerning for malignancy; however, cosmetic removal is typically not covered, requiring patients to pay out-of-pocket, with greater lesion number and freeze cycles increasing total cost. Shave excision is effective but requires local anesthesia, with potential side effects of scarring and hyperpigmentation (3). Additional treatment options include laser therapy; ablative and non-ablative lasers have shown efficacy in small studies, although side effects include soreness and pigmentary changes (4). Laser therapy is typically more expensive than other first-line treatments.
Cost-utility study of home-based cryotherapy device for wart treatment: a randomized, controlled, and investigator-blinded trial
Published in Journal of Dermatological Treatment, 2022
Nattanichcha Kulthanachairojana, Suthira Taychakhoonavudh, Kanokvalai Kulthanan, Sumanas Bunyaratavej, Sasima Eimpunth, Bawonpak Pongkittilar, Suthasanee Prasertsook, Supisara Wongdama, Charussri Leeyaphan
Regarding the treatment outcomes, 8 patients (72.7%) undergoing home-based cryotherapy achieved complete cure within 8 weeks. Three patients (27.3%) still had warts 12 weeks after treatment. With the in-hospital liquid nitrogen therapy group, 4 patients (50%) were completely cured within 8 weeks, and 1 (14.3%) achieved a complete cure at 12 weeks. However, another 3 patients (42.9%) were not cured at 12 weeks. There was no statistically significant difference in the cure rates of the groups. Several side effects were observed: pain, redness, swelling, burns, blisters, hypopigmentation, and scarring. These adverse events occurred only slightly more frequently with home-based cryotherapy devices, and the difference was not statistically significant. All adverse events resolved spontaneously without medical attention (Table 3).
How to integrate screening for cervical cancer into grassroots health services for low income countries: An implementation research
Published in International Journal of Healthcare Management, 2021
Ngan T. K. Nguyen, Linh T. Nguyen, Hoang T. Le, Binh T. Nguyen, Nha Ba Pham, Phuong Lan Pham, Lan T. H. Vu
This implementation research provided evidences that VIA screening services performed by local midwives/nurses at grassroots level can be an optimal solution to deal with both the raising burden of cervical cancer and the current concern of shortage of well-trained doctors in low resource setting areas. The following lessons/recommendation can be used for other countries. To train nurses/midwives working at primary health care settings to perform VIA screening, a 2-day-training workshop can be suitable given that the trainees should be given enough time/opportunities to practices under the guidelines of obstetriciansVIA can be done by local midwives/nurses at primary health care settings with technical support from well-trained doctor. A systematic connection between primary health care center and upper level should be established so the local midwives/nurses can seek for technical support immediately when needed.Cryotherapy might not be available in primary health care settings so follow up and referral system need to be set up for the immediate period after screening